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General NPI Number Information
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NPI Number | 1174782270
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Entity Type | Individual
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Provider Name | JORDAN EVAN BRAND M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/03/2008
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 1411 E 31ST ST
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City | OAKLAND
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State | CA
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Zip | 94602-1018
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Country | US
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Telephone | 510-437-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 2432 GRANT ST
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City | BERKELEY
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State | CA
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Zip | 94703-1926
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Country | US
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Telephone | 917-536-4050
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Fax | 510-275-0742
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | 60 240214
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | A121993
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License Number State | CA
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